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Flashcards in Regulation of the Female Reproductive Cycle Deck (36)
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What stimulates GnRH release in the brain?



What inhibits GnRH release in the brain?



What are the cellular actions of GnRH?

1. GnRH acts via a GPCR and increases Ca which causes FSH/LH release

2. GnRH action via DAG will increase FSH and LH synthesis


What is the function of follistatin?

It binds activin which will reduce its concentration and result in the inhibition of of the pituitary for GnRH


What is the effect of the drug Clomiphene?

It is a fertility drug that acts as an E2 receptor antagonist as with decreased E2 binding there will be less negative feedback and the GnRH pulse will increase as a result


What occurs in the follicular phase?

Time of follicle growth that occurs from menses onto ovulation


What is the hormone control in the follicular phase?

GnRH ->
FSH/LH release ->
E2 release ->
Follicle development


What is the feedback found in the follicular phase?

E2 and inhibit have negative feedback on the hypothalamus and the pituitary that will keep GnRH volume down


What makes Inhibin A?

Corpus Luteum


What makes Inhibin B?

Dominant Follicle


What occurs in the ovulatory phase?

It occurs over 1-3 days and the final oocyte maturation and release occurs


What is the hormonal control in the ovulatory phase?

E2 levels reach a threshold and positive feedback will occur that causes an LH surge leading into ovulation


What is the feedback found in the ovulatory phase?

Follicle rupture causes a decrease in E2 and loss of E2 positive feedback that occurs up to ovulation. This leads to a decrease in LH.


What happens to the follicle after ovulation?

It reorganizes into the corpus luteum


What occurs in the luteal phase?

Corpus luteum forms and hormones that promote implantation are released


What hormones are released in the luteal phase?

The corpus luteum is dominant and so E2 and progesterone are released


What is the feedback in the luteal phase?

Progesterone has strong negative feedback and E2 becomes inhibitory leading to decreased GnRH, LH and FSH


What happens to the corpus luteum at the end of the luteal phase?

It will degrade without LH due to the decreasing LH unless it is rescued by hCG


What is the process occurring with menses?

E2/progesterone are low after the luteal phase with the loss of the corpus luteum and FSH increases without negative feedback leading to endometrial sloughing


What is required for the development of primordial follicles into primary follicles?

FSH/LH and appropriate E2 levels


How are secondary follicles developed from primary follicles?

To make this follicle type, the theca cells proliferate and develop LH receptors.

Granulosa cells acquire receptors for FSH, androgens and estrogens.


What is the inhibitory function of the dominant follicle?

Inhibits growth of other follicles, even those in the other ovary


What are the other functions of the dominant follicle?

Alter cervical mucus to enhance sperm transport
Change fallopian tubes to enhance sperm transport


What is the Two Compartment Theory of Graafian Follicle Steroidogenesis?

The theca and granulosa cells cooperate


What is the role of the granulosa cells in the two compartment theory?

They have high aromatase with FSH stimulation and also produce progesterone and pregnenolone.

They cannot convert 21-C precursors into androgens very well


What is the role of theca cells in the two compartment theory?

With LH stimulation they produce androgens and transport them to the granulosa


What is the vascularization of the theca/granulosa cells?

The theca is well vascularized and has better access to circulating cholesterol


What is the overall pathway of the Two Compartment Theory?

The theca takes cholesterol from the circulation and forms androgens. The androgens are then passed to the granulosa cells which are rich in aromatase and convert them into E2


What are the phases of menstruation as described in terms of endometrial functions?



What occurs in the proliferative phase and what is the dominant hormone?

E2 is dominant. In the mid to late follicular phase the endothelium thickens with spiral artery development and increased progesterone and estrogen receptors.

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